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腹腔镜胆囊切除术后致命性小肠缺血：一例报告

Fatal small bowel ischaemia following laparoscopic cholecystectomy: report of a case.

作者信息

Amulya Charalingappa Belagavi, Rajagopalan Vijayaraghavan, Jyothiprakash Avinash Melkote, Chandrashekar Rangashamaiah, Belagavi Charalingappa Shanmukhappa

机构信息

SSMC Medical College Hospital, Internal Medicine, SSMC, Tumkur, Karnataka, 572107, India.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0705. Epub 2009 Mar 17.

DOI:10.1136/bcr.08.2008.0705
PMID:21686674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3027830/
Abstract

Veress needle, trocar insertion, pneumoperitoneum-related complications, biliary injuries apart from haemorrhage, intestinal injuries and lateral thermal injuries are all well described entities following laparoscopic cholecystectomy. The development of intestinal ischaemia following laparoscopic cholecystectomy is rare; this report describes a case of fatal small bowel ischaemia following laparoscopic cholecystectomy and discusses the various possibilities that led to this event.

摘要

韦雷氏针、套管针插入、气腹相关并发症、除出血外的胆管损伤、肠道损伤和侧方热损伤都是腹腔镜胆囊切除术后已被充分描述的情况。腹腔镜胆囊切除术后发生肠缺血的情况很少见；本报告描述了一例腹腔镜胆囊切除术后致命的小肠缺血病例，并讨论了导致这一事件的各种可能性。

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JSLS. 2007 Jul-Sep;11(3):389-93.
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Intestinal ischemia after laparoscopic cholecystectomy.腹腔镜胆囊切除术后的肠道缺血
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Intra-abdominal hypertension in the critically ill: it is time to pay attention.危重症患者的腹腔内高压：是时候引起关注了。
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Non-biliary mishaps during laparoscopic cholecystectomy.
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Ischemic necrosis of small bowel following laparoscopic surgery.腹腔镜手术后小肠缺血性坏死
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Moderate increase in intraabdominal pressure attenuates gastric mucosal oxygen saturation in patients undergoing laparoscopy.腹腔镜手术患者腹腔内压力适度升高会使胃黏膜氧饱和度降低。
Anesthesiology. 2004 May;100(5):1081-7. doi: 10.1097/00000542-200405000-00009.
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Circulatory and respiratory complications of carbon dioxide insufflation.二氧化碳气腹的循环和呼吸并发症。
Dig Surg. 2004;21(2):95-105. doi: 10.1159/000077038. Epub 2004 Feb 27.
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